title: Congenital heart disease in Mexico: advances of the regionalization project.
abstract: Consistent with the mission of the World Society for Pediatric and Congenital Heart Surgery to promote health care for children with congenital heart disease all around the world, a Mexican Association of Specialists in Congenital Heart Disease (abbreviated in Spanish as AMECC) was created in Mexico in 2008. Our efforts were coordinated with those of the National Health Secretary with the objective being implementation of a national plan for regionalization of care for patients with congenital heart disease. To improve our knowledge related to technologic and human resources for management of congenital heart disease, we developed a national survey. Finally, a national database was created for collecting all Mexican centers' information related to congenital heart disease care in order to quantify the advances related to the proposed plans. The database utilized international consensus nomenclature. The aim of this article is to show the sequence of our actions in relation to direct accomplishments and the current status of congenital heart disease care in Mexico. This article emphasizes the main aspects of these actions: regionalization project implementation, national survey results, and cardiovascular pediatric surgical database creation. Knowledge of outcomes related to successful actions would be useful for those countries that face similar challenges and may lead them to consider adoption of similar measures with the respective adjustments to their own reality.
authors.affiliation: Department of Pediatric Cardiology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico D.F., Mexico.
authors.forename: Juan
authors.initials: J
authors.lastname: Calderón-Colmenero
authors.forename: Jorge
authors.initials: J
authors.lastname: Cervantes-Salazar
authors.forename: Pedro
authors.initials: P
authors.lastname: Curi-Curi
authors.forename: Samuel
authors.initials: S
authors.lastname: Ramírez-Marroquín
mesh_terms: D006348:Cardiac Surgical Procedures / Q000706:statistics & numerical data; D002648:Child; D016208:Databases, Factual; D003695:Delivery of Health Care / Q000379:methods* / Q000706:statistics & numerical data; D006291:Health Policy; D006306:Health Surveys; D006330:Heart Defects, Congenital / Q000453:epidemiology* / Q000601:surgery; D006801:Humans; D008800:Mexico / Q000453:epidemiology; D017063:Outcome Assessment, Health Care; D012042:Registries
keywords: congenital heart disease; congenital heart surgery; database; health policy